Work-related musculoskeletal disorders in the South African Mining Industry

Work-related musculoskeletal disorders (WMSDs) affect the wellbeing of workers and result in poor quality work, lower work performance and decreased motivation. In contrast to ‘occupational’ diseases where there is a direct cause-and-effect relationship between hazard and disease (e.g., asbestos and asbestosis, lead and lead poisoning), ‘work-related’ diseases are multifactorial, where the work environment and the type of work that is performed contribute significantly to musculoskeletal disorders. WMSD is the term used to describe disorders and diseases of the musculoskeletal system (i.e. muscles, joints, ligaments, tendons and nerves). WMSDs are by definition a work-related phenomenon. The literature shows inarguably that certain jobs and certain work-related factors are associated with a significant risk of contracting a WMSD. It is assumed that repeated movements and postures, static work, continuous loading of the tissue structures or lack of recovery time, trigger or cause a pathological process that then manifests itself as a WMSD. This paper looks at the prevalence of the WMSD condition at three mines in South Africa: a coal, a gold and a platinum mine. Predisposing factors that include work factors, presentation of symptoms and psychological factors will be discussed in the paper.